Splash Aquatics Trial
Please be sure to contact Coach Ryan Muraoka at rkmuraoka@gmail.com to set up a date and time for your child's trial BEFORE completing this form
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Child’s name *
Pool location
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Current USA Swim member? *
Child #2 name
Current USA Swim member?
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Child #3 name
Current USA Swim member?
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Expected Trial Start Date *
MM
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DD
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YYYY
Parent/Guardian Name 
**NOTE: Parent/Guardian name and email provided will be used to set up swimmer’s account
*
Parent/Guardian email address *
Parent/Guardian cell phone number *
Parent/Guardian #2 Name
Parent/Guardian #2 email address
Parent/Guardian #2 cell phone number
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